Doctor Name: | KELLY AHEARN |
NPI Number: | 1134593171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 48007672 |
Business Practice Address: | 538 E 85th St Apt 5b New York, NY - 100287479 |
Business Phone Number: | 2073447115 |
Business Fax Number: | |
Mailing Address: | 538 E 85th St, 5b NEW YORK |
State: | NY |
Postal Code: | 100287447 |
Phone Number: | 2073447115 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2015 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 48007672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |